Lending Application Form

Client Information
Loan officer or representative you are working with:

How did you find out about our site?

Lender Information
First Name:
Middle Initial:
Last Name:

Social Security Number or Tax Id Number:

Home Phone:

Years Employed at Current Position:


Work Phone:

Email Address:

Additional borrower information:
Have you had an ownership interest in a property in the last 3 years?
Type of Property Owned:
Title Held:
Do You Intend to Occupy the Property as Your Primary Residence:
Present Address:
Postal code:
Years at present address:
Previous street address if less than 2 years at current address:
Previous address city:
Previous address Province:
Previous address Postal Code:
Income|Asset|Liabilities Borrower
Amount of money you would like to lend out:
  The information in this application is true and may be relied on in evaluating your loan request. 
1 I authorize Sally Kwan to check my credit and employment.
2 I understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federally insured financial institutions.